Sitting-up vertigo and trunk retropulsion in patients with benign positional vertigo but without positional nystagmus

Sitting-up vertigo and trunk retropulsion in patients with benign positional vertigo but without positional nystagmus.

BACKGROUND Presently, the unambiguous diagnosis of benign paroxysmal positioning vertigo (BPPV) requires the detection of positioning or positional nystagmus provoked by Dix-Hallpike (for vertical semicircular canals) or supine roll (for horizontal semicircular canals) manoeuvres, which indicates canalo- or cupolithiasis of affected semicircular canals. There are patients, however, in whom--des...

Benign paroxysmal positional vertigo without nystagmus: diagnosis and treatment.

UNLABELLED Nystagmus tests to diagnose BPPV are still relevant in the clinical evaluation of BPPV. However, in everyday practice, there are cases of vertigo caused by head movements, which do not follow this sign in the Dix-Hallpike maneuver and the turn test. AIM To characterize BPPV without nystagmus and treatment for it. MATERIALS AND METHODS A non-systematic review of diagnosis and trea...

Benign paroxysmal positional vertigo.

Benign paroxysmal positional vertigo (BPPV) is the most common cause of recurrent vertigo and has a lifetime prevalence of 2.4% in the general population. Benign paroxysmal positional vertigo is caused when calcium carbonate material originating from the macula of the utricle falls into one of the semicircular canals. Due to their density relative to the endolymph, they move in response to grav...

Benign Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo.

Benign paroxysmal positional vertigo (BPPV) is the most common and most treatable cause of vertigo. In most cases, a simple maneuver that takes less than a few minutes to do resolves the problem. BPPV is caused by misplaced calcium carbonate crystals (otoconia) in the semicircular canal of the inner ear that have broken free from the utricle. When these crystals break free, they either remain l...